Method and System for Sterilizing an Analyte Sensor

ABSTRACT

In one aspect, there is provided assembling an analyte sensor with an analyte sensor insertion device, packaging the assembled analyte sensor and sensor insertion device in a substantially airtight seal, and irradiating the packaged assembled analyte sensor and sensor insertion device at a predetermined dose using one or more electron beam accelerators.

RELATED APPLICATIONS

The present application claims priority under 35 U.S.C. §119(e) to U.S.provisional application No. 61/044,017 filed Apr. 10, 2008 entitled“Method and System for Sterilizing an Analyte Sensor,” and assigned tothe assignee of the present application, Abbott Diabetes Care Inc. ofAlameda, Calif., the disclosure of which is incorporated herein byreference for all purposes.

BACKGROUND

The detection of the level of glucose or other analytes, such aslactate, oxygen or the like, in certain individuals is vitally importantto their health. For example, the monitoring of glucose is particularlyimportant to individuals with diabetes. Diabetics may need to monitorglucose levels to determine when insulin is needed to reduce glucoselevels in their bodies or when additional glucose is needed to raise thelevel of glucose in their bodies.

Devices have been developed for continuous or automatic monitoring ofanalytes, such as glucose, in bodily fluid such as in the blood streamor in interstitial fluid. Some of these analyte measuring devices areconfigured so that at least a portion of the devices are positionedbelow a skin surface of a user, e.g., in a blood vessel, in thesubcutaneous or dermal tissue of a user.

It is important for devices that are to be implanted in the body orpositioned below a skin surface of a user, such as in a blood vessel orsubcutaneous tissue, to be sterile upon insertion into the user.Sterilization is any number of processes that effectively eliminate orkill transmissible agents, such as bacteria, fungi, and viruses, thatmay be located on a non-sterile device. These transmittable agents, ifnot eliminated from the device, may be substantially detrimental to thehealth and safety of the user.

Existing techniques for sterilization of medical devices, kits orcomponents generally meet several challenges. Whether the sterilizationincludes the use of chemicals or irradiation of light beams, in order toattain the desired sterility assurance level (SAL), there areconsiderations that must be accounted for. For example, when a targetdevice or component for sterilization includes different materialshaving different properties such as metal, plastic, biologics,chemistries, including any combination thereof, the challenges ofsterilization can be significant. In addition, when a target device orcomponent is already packaged prior to sterilization, the materialcomprising the packaging as well as its properties, such as porosity,needs to be considered, further increasing the sterilization challenges.

SUMMARY

In view of the foregoing, provided in accordance with the embodiments ofthe present disclosure are methods and systems for the sterilization ofmedical devices, including devices for the continuous or automaticmonitoring of analytes, such as glucose, in bodily fluid. In one aspect,there is provided assembling an analyte sensor with an analyte sensorinsertion device, packaging the assembled analyte sensor and sensorinsertion device in a container which may optionally include asubstantially airtight seal, and irradiating the packaged assembledanalyte sensor and sensor insertion device at a dose effective tosterilize the package.

In one aspect, the electron beam sterilization of an assembled andpackaged analyte sensor and sensor insertion device results in arelatively long term shelf life (for example, approximately 18 months),with controllable moisture content within the packaging, while notadversely impacting the materials of the assembled and packaged sensorand insertion device, for example, including the adhesive component ofthe device as well as of the packaging.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 shows a block diagram of an embodiment of a data monitoring andmanagement system according to the present disclosure;

FIG. 2 shows a block diagram of an embodiment of the data processingunit of the data monitoring and management system of FIG. 1;

FIG. 3 shows a block diagram of an embodiment of a receiver/monitor unitof the data monitoring and management system of FIG. 1;

FIG. 4 shows a schematic diagram of an embodiment of an analyte sensoraccording to the present disclosure;

FIGS. 5A-5B show a perspective view and a cross sectional view,respectively of an embodiment the analyte sensor of FIG. 4;

FIG. 6 illustrates an example of a sensor insertion unit, or sensordelivery unit, used in one or more embodiments of the presentdisclosure;

FIGS. 7A and 7B are representations of two methods of electron beamirradiation sterilization;

FIGS. 8A and 8B are representations of two systems for electron beamirradiation sterilization;

FIG. 9 is a flow chart illustrating analyte sensor delivery unitpackaging for transport to a facility for electron beam irradiationsterilization;

FIG. 10 is a flow diagram illustrating a system for sterilizing ananalyte sensor and analyte sensor delivery unit;

FIG. 11 is a flow chart illustrating an ethylene oxide basedsterilization process in one aspect of the present disclosure;

FIG. 12 is a flow chart illustrating a vaporized hydrogen peroxide basedsterilization process in one aspect of the present disclosure;

FIG. 13 is a flow chart illustrating a nitrogen dioxide basedsterilization process in one aspect of the present disclosure; and

FIG. 14 is a flow chart illustrating a method of providing a protectivecomponent for a device in one aspect of the present disclosure.

DETAILED DESCRIPTION

Before the present disclosure is described, it is to be understood thatthis invention is not limited to particular embodiments described, assuch may, of course, vary. It is also to be understood that theterminology used herein is for the purpose of describing particularembodiments only, and is not intended to be limiting, since the scope ofthe present disclosure will be limited only by the appended claims.

Where a range of values is provided, it is understood that eachintervening value, to the tenth of the unit of the lower limit unlessthe context clearly dictates otherwise, between the upper and lowerlimit of that range and any other stated or intervening value in thatstated range, is encompassed within the invention. The upper and lowerlimits of these smaller ranges may independently be included in thesmaller ranges is also encompassed within the invention, subject to anyspecifically excluded limit in the stated range. Where the stated rangeincludes one or both of the limits, ranges excluding either or both ofthose included limits are also included in the invention.

Unless defined otherwise, all technical and scientific terms used hereinhave the same meaning as commonly understood by one of ordinary skill inthe art to which this invention belongs. Although any methods andmaterials similar or equivalent to those described herein can also beused in the practice or testing of the present disclosure, the preferredmethods and materials are now described. All publications mentionedherein are incorporated herein by reference to disclose and describe themethods and/or materials in connection with which the publications arecited.

It must be noted that as used herein and in the appended claims, thesingular forms “a”, “an”, and “the” include plural referents unless thecontext clearly dictates otherwise.

The publications discussed herein are provided solely for theirdisclosure prior to the filing date of the present application. Nothingherein is to be construed as an admission that the present disclosure isnot entitled to antedate such publication by virtue of prior invention.Further, the dates of publication provided may be different from theactual publication dates which may need to be independently confirmed.

As will be apparent to those of skill in the art upon reading thisdisclosure, each of the individual embodiments described and illustratedherein has discrete components and features which may be readilyseparated from or combined with the features of any of the other severalembodiments without departing from the scope or spirit of the presentdisclosure.

The figures shown herein are not necessarily drawn to scale, with somecomponents and features being exaggerated for clarity.

Generally, embodiments of the present disclosure relate to methods anddevices for detecting at least one analyte such as glucose in bodyfluid. In certain embodiments, the present disclosure relates to thecontinuous and/or automatic in vivo monitoring of the level of ananalyte using an analyte sensor.

Accordingly, embodiments include analyte monitoring devices and systemsthat include an analyte sensor—at least a portion of which ispositionable beneath the skin of the user—for the in vivo detection, ofan analyte, such as glucose, lactate, and the like, in a body fluid.Embodiments include wholly implantable analyte sensors and analytesensors in which only a portion of the sensor is positioned under theskin and a portion of the sensor resides above the skin, e.g., forcontact to a transmitter, receiver, transceiver, processor, etc. Thesensor may be, for example, subcutaneously positionable in a patient forthe continuous or periodic monitoring of a level of an analyte in apatient's interstitial fluid. For the purposes of this description,continuous monitoring and periodic monitoring will be usedinterchangeably, unless noted otherwise. The analyte level may becorrelated and/or converted to analyte levels in blood or other fluids.In certain embodiments, an analyte sensor may be positioned in contactwith interstitial fluid to detect the level of glucose, which detectedglucose may be used to infer the glucose level in the patient'sbloodstream. Analyte sensors may be insertable into a vein, artery, orother portion of the body containing fluid. Embodiments of the analytesensors of the subject invention may be configured for monitoring thelevel of the analyte over a time period which may range from minutes,hours, days, weeks, or longer.

Of interest are analyte sensors, such as glucose sensors, that arecapable of in vivo detection of an analyte for about one hour or more,e.g., about a few hours or more, e.g., about a few days of more, e.g.,about three or more days, e.g., about five days or more, e.g., aboutseven days or more, e.g., about several weeks or at least one month.Future analyte levels may be predicted based on information obtained,e.g., the current analyte level at time to, the rate of change of theanalyte, etc. Predictive alarms may notify the user of predicted analytelevels that may be of concern prior in advance of the analyte levelreaching the future level. This enables the user an opportunity to takecorrective action.

FIG. 1 shows a data monitoring and management system such as, forexample, an analyte (e.g., glucose) monitoring system 100 in accordancewith certain embodiments. Embodiments of the subject invention arefurther described primarily with respect to glucose monitoring devicesand systems, and methods of glucose detection, for convenience only andsuch description is in no way intended to limit the scope of theinvention. It is to be understood that the analyte monitoring system maybe configured to monitor a variety of analytes at the same time or atdifferent times.

Analytes that may be monitored include, but are not limited to, acetylcholine, amylase, bilirubin, cholesterol, chorionic gonadotropin,creatine kinase (e.g., CK-MB), creatine, DNA, fructosamine, glucose,glutamine, growth hormones, hormones, ketones, lactate, peroxide,prostate-specific antigen, prothrombin, RNA, thyroid stimulatinghormone, and troponin. The concentration of drugs, such as, for example,antibiotics (e.g., gentamicin, vancomycin, and the like), digitoxin,digoxin, drugs of abuse, theophylline, and warfarin, may also bemonitored. In those embodiments that monitor more than one analyte, theanalytes may be monitored at the same or different times.

The analyte monitoring system 100 includes a sensor 101, a dataprocessing unit 102 connectable to the sensor 101, and a primaryreceiver unit 104 which is configured to communicate with the dataprocessing unit 102 via a communication link 103. In certainembodiments, the primary receiver unit 104 may be further configured totransmit data to a data processing terminal 105 to evaluate or otherwiseprocess or format data received by the primary receiver unit 104. Thedata processing terminal 105 may be configured to receive data directlyfrom the data processing unit 102 via a communication link which mayoptionally be configured for bi-directional communication. Further, thedata processing unit 102 may include a transmitter or a transceiver totransmit and/or receive data to and/or from the primary receiver unit104, the data processing terminal 105 or optionally the secondaryreceiver unit 106.

Also shown in FIG. 1 is an optional secondary receiver unit 106 which isoperatively coupled to the communication link and configured to receivedata transmitted from the data processing unit 102. The secondaryreceiver unit 106 may be configured to communicate with the primaryreceiver unit 104, as well as the data processing terminal 105. Thesecondary receiver unit 106 may be configured for bi-directionalwireless communication with each of the primary receiver unit 104 andthe data processing terminal 105. As discussed in further detail below,in certain embodiments the secondary receiver unit 106 may be ade-featured receiver as compared to the primary receiver, i.e., thesecondary receiver may include a limited or minimal number of functionsand features as compared with the primary receiver unit 104. As such,the secondary receiver unit 106 may include a smaller (in one or more,including all, dimensions), compact housing or embodied in a device suchas a wrist watch, arm band, etc., for example. Alternatively, thesecondary receiver unit 106 may be configured with the same orsubstantially similar functions and features as the primary receiverunit 104. The secondary receiver unit 106 may include a docking portionto be mated with a docking cradle unit for placement by, e.g., thebedside for night time monitoring, and/or bi-directional communicationdevice.

Only one sensor 101, data processing unit 102 and data processingterminal 105 are shown in the embodiment of the analyte monitoringsystem 100 illustrated in FIG. 1. However, it will be appreciated by oneof ordinary skill in the art that the analyte monitoring system 100 mayinclude more than one sensor 101 and/or more than one data processingunit 102, and/or more than one data processing terminal 105. Multiplesensors may be positioned in a patient for analyte monitoring at thesame or different times. In certain embodiments, analyte informationobtained by a first positioned sensor may be employed as a comparison toanalyte information obtained by a second sensor. This may be useful toconfirm or validate analyte information obtained from one or both of thesensors. Such redundancy may be useful if analyte information iscontemplated in critical therapy-related decisions. In certainembodiments, a first sensor may be used to calibrate a second sensor.

The analyte monitoring system 100 may be a continuous monitoring system,or semi-continuous, or a discrete monitoring system. In amulti-component environment, each component may be configured to beuniquely identified by one or more of the other components in the systemso that communication conflict may be readily resolved between thevarious components within the analyte monitoring system 100. Forexample, unique IDs, communication channels, and the like, may be used.

In certain embodiments, the sensor 101 is physically positioned in or onthe body of a user whose analyte level is being monitored. The sensor101 may be configured to at least periodically sample the analyte levelof the user and convert the sampled analyte level into a correspondingsignal for transmission by the data processing unit 102. The dataprocessing unit 102 is coupleable to the sensor 101 so that both devicesare positioned in or on the user's body, with at least a portion of theanalyte sensor 101 positioned transcutaneously. The data processing unit102 performs data processing functions, where such functions may includebut are not limited to, filtering and encoding of data signals, each ofwhich corresponds to a sampled analyte level of the user, fortransmission to the primary receiver unit 104 via the communication link103. In one embodiment, the sensor 101 or the data processing unit 102or a combined sensor/data processing unit may be wholly implantableunder the skin layer of the user.

In one aspect, the primary receiver unit 104 may include an analoginterface section including and RF receiver and an antenna that isconfigured to communicate with the data processing unit 102 via thecommunication link 103, data processing unit 102 and a data processingsection for processing the received data from the data processing unit102 such as data decoding, error detection and correction, data clockgeneration, and/or data bit recovery.

In operation, the primary receiver unit 104 in certain embodiments isconfigured to synchronize with the data processing unit 102 to uniquelyidentify the data processing unit 102, based on, for example, anidentification information of the data processing unit 102, andthereafter, to periodically receive signals transmitted from the dataprocessing unit 102 associated with the monitored analyte levelsdetected by the sensor 101.

Referring again to FIG. 1, the data processing terminal 105 may includea personal computer, a portable computer such as a laptop or a handhelddevice (e.g., personal digital assistants (PDAs), telephone such as acellular phone (e.g., a multimedia and Internet-enabled mobile phonesuch as an iPhone or similar phone), mp3 player, pager, and the like),drug delivery device, each of which may be configured for datacommunication with the receiver via a wired or a wireless connection.Additionally, the data processing terminal 105 may further be connectedto a data network (not shown) for storing, retrieving, updating, and/oranalyzing data corresponding to the detected analyte level of the user.

The data processing terminal 105 may include an infusion device such asan insulin infusion pump or the like, which may be configured toadminister insulin to patients, and which may be configured tocommunicate with the primary receiver unit 104 for receiving, amongothers, the measured analyte level. Alternatively, the primary receiverunit 104 may be configured to integrate an infusion device therein sothat the primary receiver unit 104 is configured to administer insulin(or other appropriate drug) therapy to patients, for example, foradministering and modifying basal profiles, as well as for determiningappropriate boluses for administration based on, among others, thedetected analyte levels received from the data processing unit 102. Aninfusion device may be an external device or an internal device (whollyimplantable in a user).

In particular embodiments, the data processing terminal 105, which mayinclude an insulin pump, may be configured to receive the analytesignals from the data processing unit 102, and thus, incorporate thefunctions of the primary receiver unit 104 including data processing formanaging the patient's insulin therapy and analyte monitoring. Incertain embodiments, the communication link 103 as well as one or moreof the other communication interfaces shown in FIG. 1 may use one ormore of an RF communication protocol, an infrared communicationprotocol, a Bluetooth enabled communication protocol, an 802.11xwireless communication protocol, or an equivalent wireless communicationprotocol which would allow secure, wireless communication of severalunits (for example, per HIPPA requirements) while avoiding potentialdata collision and interference.

FIG. 2 is a block diagram of the data processing unit of the datamonitoring and detection system shown in FIG. 1 in accordance withcertain embodiments. The data processing unit 102 thus may include oneor more of an analog interface 201 configured to communicate with thesensor 101 (FIG. 1), a user input 202, and a temperature detectionsection 203, each of which is operatively coupled to a processor 204such as a central processing unit (CPU). The data processing unit mayinclude user input and/or interface components or may be free of userinput and/or interface components.

Further shown in FIG. 2 are serial communication section 205 and an RFtransmitter or transceiver 206, each of which is also operativelycoupled to the processor 204. In one embodiment, the serialcommunication section 205 is in direct communication with the analoginterface 201 via communication link 209, which may be configured forbi-directional communication. Moreover, a power supply 207, such as abattery, may also be provided in the data processing unit 102 to providethe necessary power for the data processing unit 102. Additionally, ascan be seen from the Figure, clock 208 may be provided to, among others,supply real time information to the transmitter processor 204.

As can be seen in the embodiment of FIG. 2, the sensor unit 101 (FIG. 1)includes four contacts, three of which are electrodes—work electrode (W)210, guard contact (G) 211, reference electrode (R) 212, and counterelectrode (C) 213, each operatively coupled to the analog interface 201of the data processing unit 102. In certain embodiments, each of thework electrode (W) 210, guard contact (G) 211, reference electrode (R)212, and counter electrode (C) 213 may be made using a conductivematerial that may be applied by, e.g., chemical vapor deposition (CVD),physical vapor deposition, sputtering, reactive sputtering, printing,coating, ablating (e.g., laser ablation), painting, dip coating,etching, and the like. Materials include but are not limited toaluminum, carbon (such as graphite), cobalt, copper, gallium, gold,indium, iridium, iron, lead, magnesium, mercury (as an amalgam), nickel,niobium, osmium, palladium, platinum, rhenium, rhodium, selenium,silicon (e.g., doped polycrystalline silicon), silver, tantalum, tin,titanium, tungsten, uranium, vanadium, zinc, zirconium, mixturesthereof, and alloys, oxides, or metallic compounds of these elements.

The processor 204 may be configured to generate and/or process controlsignals to the various sections of the data processing unit 102 duringthe operation of the data processing unit 102. In certain embodiments,the processor 204 also includes memory (not shown) for storing data suchas the identification information for the data processing unit 102, aswell as the data associated with signals received from the sensor 101.The stored information may be retrieved and processed for transmissionto the primary receiver unit 104 under the control of the processor 204.Furthermore, the power supply 207 may include a commercially availablebattery.

In certain embodiments, a manufacturing process of the data processingunit 102 may place the data processing unit 102 in the lower power,non-operating state (i.e., post-manufacture sleep mode). In this manner,the shelf life of the data processing unit 102 may be significantlyimproved. Moreover, as shown in FIG. 2, while the power supply unit 207is shown as coupled to the processor 204, and as such, the processor 204is configured to provide control of the power supply unit 207, it shouldbe noted that within the scope of the present disclosure, the powersupply unit 207 is configured to provide the necessary power to each ofthe components of the data processing unit 102 shown in FIG. 2.

Referring back to FIG. 2, the power supply section 207 of the dataprocessing unit 102 in one embodiment may include a rechargeable batteryunit that may be recharged by a separate power supply recharging unit(for example, provided in the receiver unit 104) so that the dataprocessing unit 102 may be powered for a longer period of usage time. Incertain embodiments, the data processing unit 102 may be configuredwithout a battery in the power supply section 207, in which case thedata processing unit 102 may be configured to receive power from anexternal power supply source (for example, a battery, electrical outlet,etc.) as discussed in further detail below.

Referring yet again to FIG. 2, a temperature detection section 203 ofthe data processing unit 102 is configured to monitor the temperature ofthe skin near the sensor insertion site. The temperature reading may beused to adjust the analyte readings obtained from the analog interface201. Also shown is a leak detection circuit 214 coupled to the guardtrace (G) 211 and the processor 204 in the data processing unit 102 ofthe data monitoring and management system 100. The leak detectioncircuit 214 may be configured to detect leakage current in the sensor101 to determine whether the measured sensor data are corrupt or whetherthe measured data from the sensor 101 is accurate. Such detection maytrigger a notification to the user.

FIG. 3 is a block diagram of a receiver/monitor unit such as the primaryreceiver unit 104 of the data monitoring and management system shown inFIG. 1 in accordance with certain embodiments. The primary receiver unit104 includes one or more of: a blood glucose test strip interface 301,an RF receiver 302, an input 303, a temperature detection section 304,and a clock 305, each of which is operatively coupled to a processingand storage section 307. The primary receiver unit 104 also includes apower supply 306 operatively coupled to a power conversion andmonitoring section 308. Further, the power conversion and monitoringsection 308 is also coupled to the processing and storage section 307.Moreover, also shown are a receiver serial communication section 309,and an output 310, each operatively coupled to the processing andstorage unit 307. The receiver may include user input and/or interfacecomponents or may be free of user input and/or interface components.

In certain embodiments, the test strip interface 301 includes a glucoselevel testing portion to receive a blood (or other body fluid sample)glucose test or information related thereto. For example, the interfacemay include a test strip port to receive a glucose test strip. Thedevice may determine the glucose level of the test strip, and optionallydisplay (or otherwise notice) the glucose level on the output 310 of theprimary receiver unit 104. Any suitable test strip may be employed,e.g., test strips that only require a very small amount (e.g., onemicroliter or less, e.g., 0.5 microliter or less, e.g., 0. 1 microliteror less), of applied sample to the strip in order to obtain accurateglucose information, e.g. FreeStyle® blood glucose test strips fromAbbott Diabetes Care Inc. Glucose information obtained by the in vitroglucose testing device may be used for a variety of purposes,computations, etc. For example, the information may be used to calibratesensor 101, confirm results of the sensor 101 to increase the confidencethereof (e.g., in instances in which information obtained by sensor 101is employed in therapy related decisions), etc.

In one aspect, the RF receiver 302 is configured to communicate, via thecommunication link 103 (FIG. 1) with the RF transmitter 206 of the dataprocessing unit 102, to receive encoded data from the data processingunit 102 for, among others, signal mixing, demodulation, and other dataprocessing. The input 303 of the primary receiver unit 104 is configuredto allow the user to enter information into the primary receiver unit104 as needed. In one aspect, the input 303 may include keys of akeypad, a touch-sensitive screen, and/or a voice-activated input commandunit, and the like. The temperature monitor section 304 may beconfigured to provide temperature information of the primary receiverunit 104 to the processing and control section 307, while the clock 305provides, among others, real time or clock information to the processingand storage section 307.

Each of the various components of the primary receiver unit 104 shown inFIG. 3 is powered by the power supply 306 (or other power supply) which,in certain embodiments, includes a battery. Furthermore, the powerconversion and monitoring section 308 is configured to monitor the powerusage by the various components in the primary receiver unit 104 foreffective power management and may alert the user, for example, in theevent of power usage which renders the primary receiver unit 104 insub-optimal operating conditions. The serial communication section 309in the primary receiver unit 104 is configured to provide abi-directional communication path from the testing and/or manufacturingequipment for, among others, initialization, testing, and configurationof the primary receiver unit 104. Serial communication section 104 canalso be used to upload data to a computer, such as time-stamped bloodglucose data. The communication link with an external device (not shown)can be made, for example, by cable (such as USB or serial cable),infrared (IR) or RF link. The output/display 310 of the primary receiverunit 104 is configured to provide, among others, a graphical userinterface (GUI), and may include a liquid crystal display (LCD) fordisplaying information. Additionally, the output/display 310 may alsoinclude an integrated speaker for outputting audible signals as well asto provide vibration output as commonly found in handheld electronicdevices, such as mobile telephones, pagers, etc. In certain embodiments,the primary receiver unit 104 also includes an electro-luminescent lampconfigured to provide backlighting to the output 310 for output visualdisplay in dark ambient surroundings.

Referring back to FIG. 3, the primary receiver unit 104 may also includea storage section such as a programmable, non-volatile memory device aspart of the processing and storage section 307, or provided separatelyin the primary receiver unit 104, operatively coupled to a processor.The processor may be configured to perform Manchester decoding (or otherprotocol(s)) as well as error detection and correction upon the encodeddata received from the data processing unit 102 via the communicationlink 103.

In further embodiments, the data processing unit 102 and/or the primaryreceiver unit 104 and/or the secondary receiver unit 106, and/or thedata processing terminal/infusion section 105 may be configured toreceive the blood glucose value wirelessly over a communication linkfrom, for example, a blood glucose meter. In further embodiments, a usermanipulating or using the analyte monitoring system 100 (FIG. 1) maymanually input the blood glucose value using, for example, a userinterface (for example, a keyboard, keypad, voice commands, and thelike) incorporated in the one or more of the data processing unit 102,the primary receiver unit 104, secondary receiver unit 105, or the dataprocessing terminal/infusion section 105.

Additional detailed descriptions are provided in U.S. Pat. Nos.5,262,035; 5,264,104; 5,262,305; 5,320,715; 5,593,852; 6,175,752;6,650,471; 6,746,582, and in application Ser. No. 10/745,878 filed Dec.26, 2003 entitled “Continuous Glucose Monitoring System and Methods ofUse”, each of which is incorporated herein by reference.

FIG. 4 schematically shows an embodiment of an analyte sensor inaccordance with the present disclosure. The sensor 400 includeselectrodes 401, 402 and 403 on a base 404. The sensor may be whollyimplantable in a user or may be configured so that only a portion ispositioned within (internal) a user and another portion outside(external) a user. For example, the sensor 400 may include a portionpositionable above a surface of the skin 410, and a portion positionedbelow the skin. In such embodiments, the external portion may includecontacts (connected to respective electrodes of the second portion bytraces) to connect to another device also external to the user such as atransmitter unit. While the embodiment of FIG. 4 shows three electrodesside-by-side on the same surface of base 404, other configurations arecontemplated, e.g., fewer or greater electrodes, some or all electrodeson different surfaces of the base or present on another base, some orall electrodes stacked together, electrodes of differing materials anddimensions, etc.

FIG. 5A shows a perspective view of an embodiment of an electrochemicalanalyte sensor 500 having a first portion (which in this embodiment maybe characterized as a major portion) positionable above a surface of theskin 510, and a second portion (which in this embodiment may becharacterized as a minor portion) that includes an insertion tip 530positionable below the skin, e.g., penetrating through the skin andinto, e.g., the subcutaneous space 520, in contact with the user'sbiofluid such as interstitial fluid. Contact portions of a workingelectrode 501, a reference electrode 502, and a counter electrode 503are positioned on the portion of the sensor 500 situated above the skinsurface 510. Working electrode 501, a reference electrode 502, and acounter electrode 503 are shown at the second section and particularlyat the insertion tip 530. Traces may be provided from the electrode atthe tip to the contact, as shown in FIG. 5A. It is to be understood thatgreater or fewer electrodes may be provided on a sensor. For example, asensor may include more than one working electrode and/or the counterand reference electrodes may be a single counter/reference electrode,etc.

FIG. 5B shows a cross sectional view of a portion of the sensor 500 ofFIG. 5A. The electrodes 501, 502 and 503, of the sensor 500 as well asthe substrate and the dielectric layers are provided in a layeredconfiguration or construction. For example, as shown in FIG. 5B, in oneaspect, the sensor 500 (such as the sensor unit 101 FIG. 1), includes asubstrate layer 504, and a first conducting layer 501 such as carbon,gold, etc., disposed on at least a portion of the substrate layer 504,and which may provide the working electrode. Also shown disposed on atleast a portion of the first conducting layer 501 is a sensing layer508.

Referring back to FIG. 5B, a first insulation layer such as a firstdielectric layer 505 is disposed or layered on at least a portion of thefirst conducting layer 501, and further, a second conducting layer 509may be disposed or stacked on top of at least a portion of the firstinsulation layer (or dielectric layer) 505. As shown in FIG. 5B, thesecond conducting layer 509 may provide the reference electrode 502, andin one aspect, may include a layer of silver/silver chloride (Ag/AgCl),gold, etc.

Referring still again to FIG. 5B, a second insulation layer 506 such asa dielectric layer in one embodiment may be disposed or layered on atleast a portion of the second conducting layer 509. Further, a thirdconducting layer 503 may provide the counter electrode 503. It may bedisposed on at least a portion of the second insulation layer 506.Finally, a third insulation layer 507 may be disposed or layered on atleast a portion of the third conducting layer 503. In this manner, thesensor 500 may be layered such that at least a portion of each of theconducting layers is separated by a respective insulation layer (forexample, a dielectric layer).

The embodiment of FIGS. 5A and 5B show the layers having differentlengths. Some or all of the layers may have the same or differentlengths and/or widths.

In certain embodiments, some or all of the electrodes 501, 502, 503 maybe provided on the same side of the substrate 504 in the layeredconstruction as described above, or alternatively, may be provided in aco-planar manner such that two or more electrodes may be positioned onthe same plane (e.g., side-by side (e.g., parallel) or angled relativeto each other) on the substrate 504. For example, co-planar electrodesmay include a suitable spacing there between and/or include dielectricmaterial or insulation material disposed between the conductinglayers/electrodes. Furthermore, in certain embodiments one or more ofthe electrodes 501, 502, 503 may be disposed on opposing sides of thesubstrate 504. In such embodiments, contact pads may be on the same ordifferent sides of the substrate. For example, an electrode may be on afirst side and its respective contact may be on a second side, e.g., atrace connecting the electrode and the contact may traverse through thesubstrate.

In certain embodiments, the data processing unit 102 may be configuredto perform sensor insertion detection and data quality analysis,information pertaining to which may also transmitted to the primaryreceiver unit 104 periodically at the predetermined time interval. Inturn, the receiver unit 104 may be configured to perform, for example,skin temperature compensation/correction as well as calibration of thesensor data received from the data processing unit 102.

As noted above, analyte sensors may include an analyte-responsive enzymein a sensing layer. Some analytes, such as oxygen, can be directlyelectrooxidized or electroreduced on a sensor, and more specifically atleast on a working electrode of a sensor. Other analytes, such asglucose and lactate, require the presence of at least one electrontransfer agent and/or at least one catalyst to facilitate theelectrooxidation or electroreduction of the analyte. Catalysts may alsobe used for those analyte, such as oxygen, that can be directlyelectrooxidized or electroreduced on the working electrode. For theseanalytes, each working electrode includes a sensing layer (see forexample sensing layer 508 of FIG. 5B) formed proximate to or on asurface of a working electrode. In many embodiments, a sensing layer isformed near or on only a small portion of at least a working electrode.

A variety of different sensing layer configurations may be used. Incertain embodiments, the sensing layer is deposited on the conductivematerial of a working electrode. The sensing layer may extend beyond theconductive material of the working electrode. In some cases, the sensinglayer may also extend over other electrodes, e.g., over the counterelectrode and/or reference electrode (or counter/reference is provided).The sensing layer may be integral with the material of an electrode.

A sensing layer that is in direct contact with the working electrode maycontain an electron transfer agent to transfer electrons directly orindirectly between the analyte and the working electrode, and/or acatalyst to facilitate a reaction of the analyte. For example, aglucose, lactate, or oxygen electrode may be formed having a sensinglayer which contains a catalyst, such as glucose oxidase, lactateoxidase, or laccase, respectively, and an electron transfer agent thatfacilitates the electrooxidation of the glucose, lactate, or oxygen,respectively.

In certain embodiments which include more than one working electrode,one or more of the working electrodes do not have a correspondingsensing layer, or have a sensing layer which does not contain one ormore components (e.g., an electron transfer agent and/or catalyst)needed to electrolyze the analyte. Thus, the signal at this workingelectrode corresponds to background signal which may be removed from theanalyte signal obtained from one or more other working electrodes thatare associated with fully-functional sensing layers by, for example,subtracting the signal.

In certain embodiments, the sensing layer includes one or more electrontransfer agents. Electron transfer agents that may be employed areelectroreducible and electrooxidizable ions or molecules having redoxpotentials that are a few hundred millivolts above or below the redoxpotential of the standard calomel electrode (SCE). The electron transferagent may be organic, organometallic, or inorganic. Examples of organicredox species are quinones and species that in their oxidized state havequinoid structures, such as Nile blue and indophenol. Examples oforganometallic redox species are metallocenes such as ferrocene.Examples of inorganic redox species are hexacyanoferrate (III),ruthenium hexamine etc.

In certain embodiments, electron transfer agents have structures orcharges which prevent or substantially reduce the diffusional loss ofthe electron transfer agent during the period of time that the sample isbeing analyzed. For example, electron transfer agents include but arenot limited to a redox species, e.g., bound to a polymer which can inturn be disposed on or near the working electrode. The bond between theredox species and the polymer may be covalent, coordinative, or ionic.Although any organic, organometallic, or inorganic redox species may bebound to a polymer and used as an electron transfer agent, in certainembodiments the redox species is a transition metal compound or complex,e.g., osmium, ruthenium, iron, and cobalt compounds or complexes. Itwill be recognized that many redox species described for use with apolymeric component may also be used, without a polymeric component.

One type of polymeric electron transfer agent contains a redox speciescovalently bound in a polymeric composition. An example of this type ofmediator is poly(vinylferrocene). Another type of electron transferagent contains an ionically-bound redox species. This type of mediatormay include a charged polymer coupled to an oppositely charged redoxspecies. Examples of this type of mediator include a negatively chargedpolymer coupled to a positively charged redox species such as an osmiumor ruthenium polypyridyl cation. Another example of an ionically-boundmediator is a positively charged polymer such as quaternizedpoly(4-vinyl pyridine) or poly(1-vinyl imidazole) coupled to anegatively charged redox species such as ferricyanide or ferrocyanide.In other embodiments, electron transfer agents include a redox speciescoordinatively bound to a polymer. For example, the mediator may beformed by coordination of an osmium or cobalt 2,2′-bipyridyl complex topoly(1-vinyl imidazole) or poly(4-vinyl pyridine).

Suitable electron transfer agents are osmium transition metal complexeswith one or more ligands, each ligand having a nitrogen-containingheterocycle such as 2,2′-bipyridine, 1,10-phenanthroline, 1-methyl,2-pyridyl biimidazole, or derivatives thereof. The electron transferagents may also have one or more ligands covalently bound in a polymer,each ligand having at least one nitrogen-containing heterocycle, such aspyridine, imidazole, or derivatives thereof. The electron transferagents may also have one or more ligands covalently bound in a polymer,each ligand having at least one nitrogen-containing heterocycle, such aspyridine, imidazole, or derivatives thereof. One example of an electrontransfer agent includes (a) a polymer or copolymer having pyridine orimidazole functional groups and (b) osmium cations complexed with twoligands, each ligand containing 2,2′-bipyridine, 1,10-phenanthroline, orderivatives thereof, the two ligands not necessarily being the same.Some derivatives of 2,2′-bipyridine for complexation with the osmiumcation include but are not limited to 4,4′-dimethyl-2,2′-bipyridine andmono-, di-, and polyalkoxy-2,2′-bipyridines, such as4,4′-dimethoxy-2,2′-bipyridine. Derivatives of 1,10-phenanthroline forcomplexation with the osmium cation include but are not limited to4,7-dimethyl-1,10-phenanthroline and mono, di-, and polyalkoxy-1,10-phenanthrolines, such as 4,7-dimethoxy- 1,10-phenanthroline.Polymers for complexation with the osmium cation include but are notlimited to polymers and copolymers of poly(1-vinyl imidazole) (referredto as “PVI”) and poly(4-vinyl pyridine) (referred to as “PVP”). Suitablecopolymer substituents of poly(1-vinyl imidazole) include acrylonitrile,acrylamide, and substituted or quaternized N-vinyl imidazole, e.g.,electron transfer agents with osmium complexed to a polymer or copolymerof poly(1-vinyl imidazole).

Embodiments may employ electron transfer agents having a redox potentialranging from about −200 mV to about +200 mV versus the standard calomelelectrode (SCE). The sensing layer may also include a catalyst which iscapable of catalyzing a reaction of the analyte. The catalyst may also,in some embodiments, act as an electron transfer agent. One example of asuitable catalyst is an enzyme which catalyzes a reaction of theanalyte. For example, a catalyst, such as a glucose oxidase, glucosedehydrogenase (e.g., pyrroloquinoline quinone (PQQ) dependent glucosedehydrogenase, flavine adenine dinucleotide (FAD) dependent glucosedehydrogenase, or nicotinamide adenine dinucleotide (NAD) dependentglucose dehydrogenase), may be used when the analyte of interest isglucose. A lactate oxidase or lactate dehydrogenase may be used when theanalyte of interest is lactate. Laccase may be used when the analyte ofinterest is oxygen or when oxygen is generated or consumed in responseto a reaction of the analyte.

In certain embodiments, a catalyst may be attached to a polymer, crosslinking the catalyst with another electron transfer agent (which, asdescribed above, may be polymeric. A second catalyst may also be used incertain embodiments. This second catalyst may be used to catalyze areaction of a product compound resulting from the catalyzed reaction ofthe analyte. The second catalyst may operate with an electron transferagent to electrolyze the product compound to generate a signal at theworking electrode. Alternatively, a second catalyst may be provided inan interferent-eliminating layer to catalyze reactions that removeinterferents.

Certain embodiments include a Wired Enzyme™ sensing layer that works ata gentle oxidizing potential, e.g., a potential of about +40 mV. Thissensing layer uses an osmium (Os)-based mediator designed for lowpotential operation and is stably anchored in a polymeric layer.Accordingly, in certain embodiments the sensing element is redox activecomponent that includes (1) Osmium-based mediator molecules attached bystable (bidente) ligands anchored to a polymeric backbone, and (2)glucose oxidase enzyme molecules. These two constituents are crosslinkedtogether.

A mass transport limiting layer (not shown), e.g., an analyte fluxmodulating layer, may be included with the sensor to act as adiffusion-limiting barrier to reduce the rate of mass transport of theanalyte, for example, glucose or lactate, into the region around theworking electrodes. The mass transport limiting layers are useful inlimiting the flux of an analyte to a working electrode in anelectrochemical sensor so that the sensor is linearly responsive over alarge range of analyte concentrations and is easily calibrated. Masstransport limiting layers may include polymers and may be biocompatible.A mass transport limiting layer may serve many functions, e.g.,functionalities of a biocompatible layer and/or interferent-eliminatinglayer may be provided by the mass transport limiting layer.

In certain embodiments, a mass transport limiting layer is a membranecomposed of crosslinked polymers containing heterocyclic nitrogengroups, such as polymers of polyvinylpyridine and polyvinylimidazole.Embodiments also include membranes that are made of a polyurethane, orpolyether urethane, or chemically related material, or membranes thatare made of silicone, and the like.

According certain embodiments, a membrane is formed by crosslinking insitu a polymer, modified with a zwitterionic moiety, a non-pyridinecopolymer component, and optionally another moiety that is eitherhydrophilic or hydrophobic, and/or has other desirable properties, in analcohol-buffer solution. The modified polymer may be made from aprecursor polymer containing heterocyclic nitrogen groups. Optionally,hydrophilic or hydrophobic modifiers may be used to “fine-tune” thepermeability of the resulting membrane to an analyte of interest.Optional hydrophilic modifiers, such as poly(ethylene glycol), hydroxylor polyhydroxyl modifiers, may be used to enhance the biocompatibilityof the polymer or the resulting membrane.

A membrane may be formed in situ by applying an alcohol-buffer solutionof a crosslinker and a modified polymer over an enzyme-containingsensing layer and allowing the solution to cure for about one to twodays or other appropriate time period. The crosslinker-polymer solutionmay be applied to the sensing layer by placing a droplet or droplets ofthe solution on the sensor, by dipping the sensor into the solution, orthe like. Generally, the thickness of the membrane is controlled by theconcentration of the solution, by the number of droplets of the solutionapplied, by the number of times the sensor is dipped in the solution, orby any combination of these factors. A membrane applied in this mannermay have any combination of the following functions: (1) mass transportlimitation, i.e., reduction of the flux of analyte that can reach thesensing layer, (2) biocompatibility enhancement, or (3) interferentreduction.

The electrochemical sensors may employ any suitable measurementtechnique. For example, may detect current or may employ potentiometry.Technique may include, but are not limited to amperometry, coulometry,voltammetry. In some embodiments, sensing systems may be optical,calorimetric, and the like.

In certain embodiments, the sensing system detects hydrogen peroxide toinfer glucose levels. For example, a hydrogen peroxide-detecting sensormay be constructed in which a sensing layer includes enzyme such asglucose oxides, glucose dehydrogensae, or the like, and is positionedproximate to the working electrode. The sending layer may be covered bya membrane that is selectively permeable to glucose. Once the glucosepasses through the membrane, it is oxidized by the enzyme and reducedglucose oxidase can then be oxidized by reacting with molecular oxygento produce hydrogen peroxide.

Certain embodiments include a hydrogen peroxide-detecting sensorconstructed from a sensing layer prepared by crosslinking two componentstogether, for example: (1) a redox compound such as a redox polymercontaining pendent Os polypyridyl complexes with oxidation potentials ofabout +200 mV vs. SCE, and (2) periodate oxidized horseradish peroxidase(HRP). Such a sensor functions in a reductive mode; the workingelectrode is controlled at a potential negative to that of the Oscomplex, resulting in mediated reduction of hydrogen peroxide throughthe HRP catalyst.

In another example, a potentiometric sensor can be constructed asfollows. A glucose-sensing layer is constructed by crosslinking together(1) a redox polymer containing pendent Os polypyridyl complexes withoxidation potentials from about −200 mV to +200 mV vs. SCE, and (2)glucose oxidase. This sensor can then be used in a potentiometric mode,by exposing the sensor to a glucose containing solution, underconditions of zero current flow, and allowing the ratio ofreduced/oxidized Os to reach an equilibrium value. The reduced/oxidizedOs ratio varies in a reproducible way with the glucose concentration,and will cause the electrode's potential to vary in a similar way.

A sensor may also include an active agent such as an anticlotting and/orantiglycolytic agent(s) disposed on at least a portion a sensor that ispositioned in a user. An anticlotting agent may reduce or eliminate theclotting of blood or other body fluid around the sensor, particularlyafter insertion of the sensor. Blood clots may foul the sensor orirreproducibly reduce the amount of analyte which diffuses into thesensor. Examples of useful anticlotting agents include heparin andtissue plasminogen activator (TPA), as well as other known anticlottingagents. Embodiments may include an antiglycolytic agent or precursorthereof. Examples of antiglycolytic agents are glyceraldehyde, fluorideion, and mannose. The term “antiglycolytic” is used broadly herein toinclude any substance that at least retards glucose consumption ofliving cells.

Sensors described herein may be configured to require no systemcalibration or no user calibration. For example, a sensor may be factorycalibrated and need not require further calibrating. In certainembodiments, calibration may be required, but may be done without userintervention, i.e., may be automatic. In those embodiments in whichcalibration by the user is required, the calibration may be according toa predetermined schedule or may be dynamic, i.e., the time for which maybe determined by the system on a real-time basis according to variousfactors, such as but not limited to glucose concentration and/ortemperature and/or rate of change of glucose, etc.

Calibration may be accomplished using an in vitro test strip or othercalibrator, e.g., a small sample test strip such as a test strip thatrequires less than about 1 microliter of sample (for example FreeStyle®blood glucose monitoring test strips from Abbott Diabetes Care Inc. ofAlameda, Calif.). For example, test strips that require less than about1 nanoliter of sample may be used. In certain embodiments, a sensor maybe calibrated using only one sample of body fluid per calibration event.For example, a user need only lance a body part one time to obtainsample for a calibration event (e.g., for a test strip), or may lancemore than one time within a short period of time if an insufficientvolume of sample is obtained firstly. Embodiments include obtaining andusing multiple samples of body fluid for a given calibration event,where glucose values of each sample are substantially similar. Dataobtained from a given calibration event may be used independently tocalibrate or combined with data obtained from previous calibrationevents, e.g., averaged including weighted averaged, etc., to calibrate.In certain embodiments, a system need only be calibrated once by a user,where recalibration of the system is not required.

An analyte system may include an optional alarm system that, e.g., basedon information from a processor, warns the patient of a potentiallydetrimental condition of the analyte. For example, if glucose is theanalyte, an alarm system may warn a user of conditions such ashypoglycemia and/or hyperglycemia and/or impending hypoglycemia, and/orimpending hyperglycemia. An alarm system may be triggered when analytelevels reach or exceed a threshold value. An alarm system may also, oralternatively, be activated when the rate of change or acceleration ofthe rate of change in analyte level increase or decrease approaches,reaches or exceeds a threshold rate or acceleration. For example, in thecase of a glucose monitoring system, an alarm system may be activated ifthe rate of change in glucose concentration exceeds a threshold valuewhich might indicate that a hyperglycemic or hypoglycemic condition islikely to occur. A system may also include system alarms that notify auser of system information such as battery condition, calibration,sensor dislodgment, sensor malfunction, etc. Alarms may be, for example,auditory and/or visual. Other sensory-stimulating alarm systems may beused including alarm systems which heat, cool, vibrate, or produce amild electrical shock when activated.

The subject invention also includes sensors used in sensor-based drugdelivery systems. The system may provide a drug to counteract the highor low level of the analyte in response to the signals from one or moresensors. Alternatively, the system may monitor the drug concentration toensure that the drug remains within a desired therapeutic range. Thedrug delivery system may include one or more (e.g., two or more)sensors, a processing unit such as a transmitter, a receiver/displayunit, and a drug administration system. In some cases, some or allcomponents may be integrated in a single unit. The sensor-based drugdelivery system may use data from the one or more sensors to providenecessary input for a control algorithm/mechanism to adjust theadministration of drugs, e.g., automatically or semi-automatically. Asan example, a glucose sensor may be used to control and adjust theadministration of insulin from an external or implanted insulin pump.

FIG. 6 illustrates an example of a sensor insertion unit, or sensordelivery unit, used in one or more embodiments of the presentdisclosure. Referring to FIG. 6, an inserter 600 embodiment having amicrometer style head or knob 602 is shown. Knob 602 may be attached toa threaded rod 604. Threaded rod 604 may be received through a threadedhole or insert in fixed housing cross member 606. A distal end ofthreaded rod 604 may be rotatably or fixedly attached to compressionmember 608. Compression member 608 may be movable with respect tocarrier 610 for compressing drive spring 612 therebetween.

Carrier 610 may be provided with barbed fingers 614 for engaging stops616 within housing 618 to releasably retain carrier 610 in a cockedposition, similar to the arrangements of embodiments described above.Inserter 600 may be provided with an actuator button for releasingbarbed fingers 614 from stops 616 as also previously described, allowingdrive spring 612 to drive carrier 610 downward with introducer sharpand/or sensor 620 to be inserted into the patient's skin. A returnspring 622 may also be provided to retract carrier 610 into housing 618after sensor insertion.

In another embodiment of the present disclosure, other types of sensordelivery units may be used in place of the sensor delivery unit shown inFIG. 6 and described above.

In one aspect, the sensor delivery unit or inserter 600 (FIG. 6) may beassembled and packaged with the analyte sensor 620 prior to exposing theassembly to a sterilization process such that the entire sensorinsertion assembly including the analyte sensor 620 is exposed to one ormore sterilization processes using, for example electron beamirradiation. It is to be noted that while electron beam irradiation forsterilization is discussed herein, in accordance with other aspects ofthe present disclosure, different or additional sterilization may beprovided to all or one or more component, or part of the assemblyincluding the sensor delivery unit or inserter 600 (FIG. 6) and with theanalyte sensor 620.

Electron beam irradiation may be used for the sterilization of a medicaldevice. The process of using electron beam irradiation inactivates orkills microorganisms or other contaminants on or within the medicaldevice such as the sensor insertion assembly. In one aspect, an electronbeam irradiation sterilization process may include sweeping an intensebeam of high-energy electrons across the target device. Electron beamirradiation may be a penetrating process, allowing the target medicaldevice to be already packaged in its final packaging before theirradiation process.

Thus, by sterilizing the medical device such as the assembled insertiondevice assembly including the analyte sensor after it has been packaged,the possibility of contamination during the time between sterilizationand packaging is reduced. Furthermore, electron beam irradiation maypenetrate most commonly used packaging materials, including, but notlimited to, most plastic, metal, and cardboard packaging materials suchthat sterilizing packaged medical device assembly such as the sensorinsertion device and the sensor provided within a packaging materialyield effective sterilization of the insertion device and the sensorassembly without the packaging material diminishing the effects of thesterilization process.

Referring now to the Figures, in one aspect, FIGS. 7A and 7B show twoapproaches for electron beam irradiation sterilization in aspects of thepresent disclosure. For example, electron beam irradiation sterilizationmay be performed with two electron beam accelerators, such as shown inFIG. 7A, or with a single electron beam accelerator as shown in FIG. 7B.More than two electron beam accelerators may be used if, e.g., a target,such as a packaging, device, or material, is large or dense enough suchthat more than two sides of electron beams are desired forsterilization.

In one aspect, electron beam accelerators may be used to accelerateelectrons into the concentrated highly charged electron stream used forthe electron beam irradiation. As materials pass through the stream ofelectrons, energy from the stream may be absorbed. The absorption ofthis energy alters chemical and biological bonds. At certain levels ofabsorption, also known as the absorption dose, DNA chains andreproductive cells of microorganisms may be destroyed, thereforeeffectively sterilizing the target assembly or package. The irradiationdosage is important, as too low of a dosage may not result in completesterilization, while too high of a dosage may result in adverse effectson the materials of the target, packaging, or the device beingsterilized.

Depending on target size, material, density, and desired irradiationlevel, sterilization by use of electron beam irradiation may beperformed in as little as one minute per package. As degradation ofmaterials of the target assembly in either the packaging or the deviceitself may correlate to the irradiation time, the less time required toirradiate the target packaging or device to the target irradiationdosage, the less degradation of materials may occur. Furthermore, thesterilized target may not require any aeration time after sterilizationbefore being ready for transport and/or distribution.

In one aspect, the electron beam irradiation process may penetrateinside packaging of devices to be sterilized, therefore allowingsterilization after devices are packaged in their final packagingconfiguration. This decreases the risk of contamination between thesterilization process and the final packaging process. The penetrationpower of the electron beam irradiation correlates to the package size,package orientation, package density, and electron beam acceleratorpower. The larger and denser the packaging, the more powerful of anelectron beam may be required to achieve full penetration.

Referring back to FIG. 7A, two electron beam accelerators 710, 720 maybe used to achieve complete sterilization. One electron beam accelerator710 may be positioned on one side of the target 701 a, while the secondelectron beam accelerator 720 may be positioned on the opposite side.This configuration may allow for the two electron beams 711, 721 toshare the penetration requirements in order to irradiate the interior ofthe target 701 a to the desired irradiation dosage.

Referring now to FIG. 7B, a single electron beam accelerator 730 may beused for electron beam irradiation sterilization. In this case, a singleelectron beam accelerator 730 may produce electron beam 731 to irradiatea package 701 b. This approach may be more effective for sterilizingpackages that may be smaller or less dense, thus not necessitating theuse of two or more electron beams to achieve full penetration forsterilization.

Other embodiments may include, but are not limited to, the use of asingle electron beam accelerator to irradiate a single side of a target,followed by a process of rotating the target and further irradiating asecond side with the same electron beam accelerator. This may result inhaving a similar effect to the method of using two electron beamaccelerators, however, would only require the hardware of a singleelectron beam accelerator. Furthermore, three or more electron beamaccelerators may be used for penetration from more than two sides of atarget, such as, for example, from the left, right, and top sides.

The determination of how many electron beam accelerators to use in theelectron beam irradiation sterilization of a target may be determinedbased upon size and density of a target in combination with the power ofthe electron beam accelerators that is used in the process and theinternal and surface irradiation dosage minimums and maximums desiredfor full sterilization without compromising the integrity of the target,packaging, or the device to be sterilized.

Furthermore, the electron beam irradiation process may include acontinuous exposure or an intermittent exposure, and the electron beamaccelerator may be of a continuous or a varying power, depending uponavailable machinery and determinations to achieve the desired internaland surface dosage limitations.

FIGS. 8A and 8B illustrate systems for electron beam irradiationsterilization in accordance with aspects of the present disclosure.Referring to FIG. 8A, a system for electron beam irradiationsterilization using two electron beam accelerators 810, 820 is shown. Atarget, such as a packaging containing a device (such as the packagingassembly including the sensor delivery unit and the analyte sensor)intended for sterilization 801 a may be placed on a conveyor belt 802 a,or equivalent, for passing by the electron beams 811, 821 generated bythe electron beam accelerators 810, 820.

Referring to FIG. 8A, a first electron beam accelerator 810 may beplaced on one side of the conveyor 802 a, allowing for the electron beam811 to irradiate the target 801 a from a first side. This firstirradiation may not be required to have full penetration, as the secondelectron beam 821 may irradiate from the opposite side, thus completingthe penetration of the electron beams. After passing by the firstelectron beam 811 for a predetermined period of time at a preset powerlevel, the target 801 a may pass by the second electron beam 821, alsofor another predetermined period of time at a preset power. The amountof the predetermined time and preset power of each electron beam 811,821 may be determined based on the size and density of the target 801 aand the desired surface and internal electron beam irradiation dosages.

Referring to FIG. 8B, a system for electron beam irradiationsterilization using a single electron beam accelerator 830 is shown. Atarget, such as a packaging including sensor insertion device and theanalyte sensor, intended for sterilization 801 b may be placed on aconveyor belt 802 b, or equivalent, for passing by an electron beam 831generated by an electron beam accelerator 830. The electron beamaccelerator 830 may be placed on one side or above (as shown in FIG. 8B)of the conveyor 802 b, allowing for the electron beam 831 to irradiatethe target 801 b for a predetermined period of time at a preset powerlevel. The amount of the predetermined time and preset power level ofthe electron beam 831 may be determined based on the size and density ofthe target 801 b and the desired surface and internal electron beamirradiation dosages.

Other embodiments may include, but are not limited to, systems usingthree or more electron beam accelerators or systems using a singleelectron beam accelerator with rotational functions to irradiate apackage from multiple sides using the same electron beam.

In one embodiment of the present disclosure, electron beam irradiationmay be used for the sterilization of an analyte sensor. Furthermore,electron beam irradiation may be used for the sterilization of ananalyte sensor and an analyte sensor insertion kit or an analyte sensordelivery unit.

In another embodiment of the present disclosure, electron beamirradiation may be used for the sterilization of an analyte sensor,analyte sensor delivery unit, or a continuous monitoring analyte system.

FIG. 9 is a flow chart representing steps that may be used for packaginganalyte sensor delivery units for transport to a facility for electronbeam irradiation sterilization. Referring to FIG. 9, an analyte sensordelivery unit, including an analyte sensor, may be packaged in anindividual airtight sealed packaging 910. The packaging may besufficiently small for ease of transport and shelving, and alsosufficiently sturdy to help prevent damage to the analyte sensor andanalyte sensor delivery unit.

A predetermined number of the packaged analyte sensor delivery units maybe packaged into a box, for example, constructed of a cardboardmaterial, for handling 920. The box may alternatively be constructedfrom materials including, but not limited to, plastics, woods, ormetals. The cardboard box may be designed in such a manner as to allowfor the packaged analyte sensor delivery units to remain stationaryduring transport, by use of, for example, slots or a molded tray. It isdesirable that the analyte sensor delivery units remain stationaryduring transport so as to minimize the chance or possibility of theanalyte sensor delivery units incurring damages during transport. In thecase that the cardboard box is not filled to capacity with analytesensor delivery units, properly labeled simulated or dummy units may beplaced in the empty spots in the cardboard box 921.

Boxes of analyte sensor delivery units that include simulated unitsmixed with actual device assemblies may be labeled accordingly torespectively identify each other. The cardboard boxes of analyte sensordelivery units may be then packaged into larger cases, preferablyconstructed of a cardboard material, for further ease of handling 930.The case may alternatively be constructed from materials including, butnot limited to, plastics, woods, or metals. The boxes of analyte sensordelivery units may be oriented in the same direction within thecardboard case for even irradiation in the sterilization process.

In order to protect the analyte sensor delivery units duringsterilization and/or to attain the desired sterilization level, boxes orcontainers filled with simulated units may be placed at each end of thecase. In the case that the case is not filled to capacity with boxes ofassembled analyte sensor delivery units including analyte sensors, extraboxes filled with simulated units may be placed in the case 931. Boxesfilled completely with simulated units and boxes filled partially withsimulated units may be placed at the two ends of the cases, while boxesfilled completely with analyte sensors delivery units may be placed inthe center of the case.

A sterilization sticker may be placed on the side flap of the case 940to indicate completion of the sterilization process, and the case may besealed for transport to the facility for electron beam irradiationsterilization 950. Cases containing partially filled boxes or more thanthe two required simulated boxes, may be labeled as partial cases.

In another embodiment, the analyte sensors alone, without the analytesensor delivery unit, may be packaged in airtight packaging beforesterilized using electron beam irradiation, or the analyte sensor andthe analyte delivery unit may be separately packaged and separatelyelectron beam sterilized.

FIG. 10 illustrates a system for sterilizing an analyte sensor andanalyte sensor delivery unit in one aspect. Referring to FIG. 10, in oneembodiment of the present disclosure, an analyte sensor 1001 may beloaded into an analyte sensor delivery unit 1002. This analyte sensor1001 and analyte sensor delivery unit 1002 may be a part of a continuousanalyte monitoring system. The analyte sensor delivery unit 1002assembled with the analyte sensor 1001 may be packaged in an air tightpackaging 1003. A predetermined number of packages 1003 may be placedinto a box 1010, which may have slots 1011 to ensure the stability ofthe packages 1003 when placed inside the box 1010. The stability of thepackages 1003 avoids potential damage to the analyte sensor deliveryunit 1002 and the sensor 1001 during transport.

Additionally, in the case where there are insufficient number ofpackages 1003 to fill the box 1010 completely, simulated or dummypackages 1012 may be used to fill the empty slots 1011. These simulatedpackages 1012 may be used to ensure uniformity throughout the package,and further, in determining the desired irradiation dosages/levels. Oncefilled, the boxes 1010 may be loaded into cases 1020. The cases 1020 maybe designed to hold a specific number of boxes 1010, with two simulatedboxes 1015, one on each end of the case 1020. The boxes 1010 may beloaded in the same orientation respective to one another to ensureconsistency in the irradiation process.

In the case where there is insufficient number of boxes 1010 to fill thecase 1020, additional simulated boxes 1015 may be used. Simulated boxes1015 and partially filled boxes 1014 may be placed at the ends of thecases 1020. Once a case 1020 is loaded, it may be transported to theelectron beam irradiation system 1030. The cases 1020 may be loaded ontoa conveyer 1033, or equivalent, where they are exposed to the electronbeams of one or more electron beam accelerators 1031, 1032. While FIG.10 depicts a system 1030 including two electron beam accelerators 1031,1032, within the scope of the present disclosure, the system may bedesigned to work with only one electron beam accelerator or three ormore electron beam accelerators.

Referring back to FIG. 10, the cases 1020 may be irradiated from a firstside by a first electron beam accelerator 1031 for a predetermined timeperiod at a preset power level, in either a continuous irradiation orintermittent bursts. Thereafter, the cases 1020 may be irradiated from asecond side by a second electron beam accelerator 1032 for apredetermined time period at a preset power level. These irradiationtime periods and preset power levels may be ascertained based upon thedesired internal and surface dosages desired. In one aspect, thesterilization of the packaged sensor delivery unit including the analytesensor may include two sided irradiation using two electron beamaccelerators, each with 6 MeV at 1 KW. This process may be configured tosterilize material size up to 24 inches long and 20 inches high with 12inches in thickness, resulting in density multiplied by thicknessequaling 4.5 g/cm² facing the electron beam.

In one aspect, the analyte sensor and the analyte sensor delivery unitin a sealed package may be electron beam irradiated to attainsterilization to at least approximately 25 kGy dose to produceapproximately 10⁻⁶ SAL (sterility assurance level), or preferably atapproximately 30 kGy target surface dose, and in one aspect, the dosefor the electron beam irradiation may be between approximately 25 kGyand 60 kGy.

In another embodiment, electron beam irradiation may be used for thesterilization of part or the entirety of a continuous analyte monitoringsystem.

In another embodiment, electron beam irradiation may be used for thesterilization of part or the entirety of any medical device or medicaldevice system.

In certain embodiments, of the present disclosure, medical deviceassembly for sterilization may include oen or more electroniccomponents, an analyte sensor including active sensing agents and/orchemistry and/or biologics related to analyte sensing disposed on thesensor, a sensor delivery unit including a mounting unit, an insertionneedle such as a sharp introducer and/or adhesive, or one or morecombinations thereof. Exemplary configurations of such medical deviceassembly for sterilization may be found in for example, U.S. Pat. No.6,175,752, and in U.S. Provisional Application No. 61/149,639 filed Feb.3, 2009, entitled “Compact On-Body Physiological Monitoring Device andMethods Thereof”, the disclosure of each of which are incorporatedherein by reference in its entirety.

In particular, in embodiments of the present disclosure, sterilizationprocedures are provided that achieve sterilization to at a safesterility assurance level, such as for example a 10⁻⁶ SAL, where thesterilization procedures are performed on the medical device assembly inpost manufacturing condition, in fully or partically assembled state. Inother embodiments, a lower or higher target SAL may be implementeddepending upon the device or assembly for sterlization.

Some medical device assembly such as, for example analyte monitoringassembly, may include a plurality of components such as electroniccomponents, such as a transmitter, microprocessor, memory device, andthe like, a sensor including active sensing agents, such as enzymesrelated to analyte sensing, disposed on the sensor, a sensor deliveryunit including, for example, an insertion needle, a mounting unit, suchas an adhesive, or one or more combinations thereof. Each component mayhave varying limitations and/or requirements for sterilization, wherecertain sterilization routine may be ineffective or potentially damagethe component of part of the overall assembly.

For example, e-beam irradiation based sterilization may damage theelectronic components of the medical device assembly. Also,sterilization procedures that use high temperatures and/or high levelsof humidity may cause damage to or erosion of the enzymes or otherchemistry or biologics on analyte sensor that include enzymes, or otherchemistry or biologics. Additionally, exposure to high levels ofhumidity used in conjunction with the sterilization routine may renderthe adhesive ineffective (or lessen the effectiveness or lifespan of theadhesive) when the assembly to be sterilized includes adhesive such as,for example, the mounting unit/base of the medical device assemblydiscussed above.

Accordingly, in aspects of the present disclosure, gaseous chemicalsterilization, using, for example, ethylene oxide (EO), vaporizedhydrogen peroxide (VHP), or nitrogen oxides, such as nitrogen dioxide(NO₂), at one or more controlled temperatures, humidity levels, andchemical concentrations are provided. In one aspect, the gaseouschemical sterilization routines described herein are configured tominimize or avoid damage to components, such as electronic componentsand chemical/biological components, while achieving a desired safesterility assurance level (SAL), such as a 10⁻⁶ SAL or other acceptableor desirable level of SAL.

FIG. 11 is a flow chart illustrating an ethylene oxide (EO) basedsterilization process in one aspect of the present disclosure. Ethyleneoxide sterilization, as well as other chemical sterilization methods,may potentially damage enzymes, chemistry or biologics unless theparameters including temperature, humidity, EO concentration, and EOexposure time are controlled or selected carefully. In one aspect, acustom cycle of EO sterilization may be used.

Referring to FIG. 11, in one embodiment, an ethylene oxide basedsterilization procedure begins with providing the device, such as amedical device assembly, in a sterilization chamber at a controlledtemperature and humidity (1110). The sterilization chamber may be usedto contain the gaseous solution, to maintain a constant, controlledtemperature and humidity, to keep the assembly free from outsidecontaminants during the sterilization process, and to protect anytechnicians involved in the sterilization process from exposure topotentially harmful chemicals. In one embodiment, the air in thesterilization chamber may be vacuumed out in order to more accuratelycontrol the temperature, humidity, pressure, and gas concentrationwithin the sterilization chamber.

In some aspects, the EO based sterilization routine may use atemperature of up to approximately 60° C., a humidity level that isgreater than 60%, such as 80% or greater, an EO concentration betweenapproximately 200 mg/L and approximately 1000 mg/L, such as betweenapproximately 400 mg/L and approximately 800 mg/L, such as approximately600 mg/L, and an EO exposure time of between one and seven hours, suchas an exposure time of between about three and five hours. With ethyleneoxide sterilization, similar to other chemical sterilization techniques,the higher the temperature of the device or assembly within thesterilization chamber, the higher the level of lethality tocontaminants, such as bacteria and spores. Additionally, higher levelsof humidity also facilitate the absorption and desorption of EO into andout of the device for sterilization.

However, the high temperature and/or humidity level may be incompatiblewith and/or potentially cause damage (or render ineffective)to enzymesor other biological components provided on the component of the deviceor assembly for sterilization. To this end, in one aspect, the EO basedsterilization routine may be implemented based on a lower temperature,for example a temperature lower than approximately 56° C., such as atemperature lower than approximately 50° C., such as approximately 45°C., and a lower humidity level, for example a humidity of less thanapproximately 50%, such as a humidity level of approximately 35%.

Referring still to FIG. 11, in one aspect, in the case where the EObased sterilization routine is implemented using a lower temperatureand/or a lower humidity level, the EO exposure time may need to beincreased (1140) to achieve a desired sterility assurance level, such asa 10⁻⁶ SAL (1120). In one embodiment, the exposure time may becalculated based upon an evaluation and determination of the exposuretime value (D-value) determined based on the exposure time at apredetermined EO concentration that results in the destruction of 90% ofthe contaminant organism's population. In other embodiments, theexposure time may be based upon user experience, testing, trial anderror, or a variety of other calculations and/or experiments.

Once a desired sterility assurance level has been achieved, the ethyleneoxide solution is removed from the sterilization chamber, and the deviceor assembly is aerated (1130) until it is safe for handling anddistribution. Aeration may be achieved by a series of vacuums andsubsequent injections of nitrogen gas into an aeration chamber, by forexample, circulating filtered air through an aeration chamber, bycirculating heated air through an aeration chamber, or based on avariety of other aeration techniques or combinations thereof. In otherembodiments, exposure temperatures at, above, or below 56° C. and/orexposure humidity levels at, above, or below 35% may be used. In furtherembodiments, the EO exposure time and/or the EO concentration may vary.

FIG. 12 is a flow chart illustrating a vaporized hydrogen peroxide (VHP)based sterilization routine in one aspect of the present disclosure.Hydrogen peroxide is bactericidal, fungicidal, and sporicidal atconcentrations above approximately 6%. In one embodiment, a hydrogenperoxide concentration between 20% and 50%, such as approximately 35%,may be used in VHP based sterilization routine.

Referring to FIG. 12, in one embodiment, the medical device assembly isprovided within a sterilization chamber (1210), which is pulled byvacuum (1220) to ensure there are no leaks. Following the vacuum, theVHP is then pulsed into the sterilization chamber (1230), to permeatethe VHP through the packaging and sterilize the sensor in the assemblywhile without damaging other components such as the electronics withinthe assembly. In one aspect, the VHP exposure is maintained (1260) untilan acceptable sterility assurance level, such as 10⁻⁶ SAL, is achieved(1240). This cycle can be completed in minutes, or hours, or more orless and may be at temperatures ranging from approximately 30° C. to 40°C. and at low humidity levels, where humidity arises from the pulsed VHPinjection. Various other combinations of temperature, humidity levels,VHP concentration, and exposure time may be used. High concentrations ofhydrogen peroxide may be potentially dangerous or harmful to enzymes ofa sensor, however, at low concentration it is not harmful. Once adesired sterility assurance level has been achieved, the hydrogenperoxide solution is removed from the sterilization chamber, and thedevice or assembly is aerated (1250) until it is safe for handling anddistribution.

FIG. 13 is a flow chart illustrating a nitrogen dioxide (NO₂) basedsterilization routinein one aspect of the present disclosure. Referringto FIG. 13, in one embodiment, the NO₂ based sterilization routine useslow concentrations (less than approximately 21 mg/L) of NO₂ gas in thepresence of air and water vapor at approximately room temperaturedelivered (1330) into a sterilization chamber that contains the deviceorassembly to be sterilized (1310) and that has been evacuated of air bythe use of a vacuum (1320). In one aspect, the injection of the NO₂mixture is followed by an injection of humidified air (1340) at nearambient pressure into the sterilization chamber. In one aspect, thisprocess is repeated one or more times until an acceptable sterilityassurance level, such as 10⁻⁶ SAL, is achieved (1350). Once anacceptable SAL is achieved, the medical device assembly is aerated(1360) until it is safe for use and/or distribution.

In one embodiment, the NO₂ gas concentration used for sterilization isbetween approximately 8 mg/L and 10 mg/L. In another embodiment, the NO₂gas to air ratio is between about 0.1% and 1%, such as between about0.25% and 0.40%. In one embodiment, the exposure time is between oneminute and one hour, such as between approximately two minutes andtwenty minutes. In a further embodiment, the humidity level is between35% and 90%, such as between 50% and 80%. In still another embodiment,the temperature is between 10° C. and 40° C, such as between 18° C. and30° C. In still other embodiments, the concentration of NO₂,temperature, humidity, pressure, exposure time, number of exposurecycles, or combinations thereof may vary.

Within the scope of the present disclosure, other methods of chemicalsterilization may be used including the use of gaseous or liquidchemicals including, chlorine bleach, glutaraldehyde, formaldehyde,Ortho-phthalaldehyde (OPA), peracetic acid, guanidinium thiocyanate,sodium hydroxide (NaOH), silver ions, iodine, ozone, hydrogen peroxidegas plasma, or combinations or derivatives thereof.

In other embodiments, a pre-assembled medical device assembly mayinclude a component, for example a sensor which requires sterilizationbefore distribution and use and protection from future contamination,may be incorporated within a housing of another component, such as thedevice assembly as shown in FIG. 6. As described above, it may beadvantageous for a medical device assembly to be sterilized aftercomplete assembly and packaging to avoid possible contamination betweenthe sterilization process and the finalization processes of manufactureand assembly. As such, it is advantageous to provide a suitable materialand/or design to allow for sterilization of all necessary components ofthe medical device assembly without sacrificing protection.

In one embodiment, a protective component (not shown), such as a cap,may be provided over the open end of the sensor delivery unit 600 ofFIG. 6. Example embodiments are described in further detail in U.S.Provisional Application No. 61/149,639 filed Feb. 3, 2009, entitled“Compact On-Body Physiological Monitoring Device and Methods Thereof”,disclosure of which is incorporated herein by reference for allpurposes. In one aspect, the cap acts as a desiccation barrier,protecting the sensor 620 from potentially harmful outside elements.However, in some cases, a desiccation barrier may also hinder somesterilization processes, such as chemical sterilization methods,examples of which are described above.

In view of the above, FIG. 14 is a flow chart illustrating a method ofproviding a protective component for a device in one embodiment, whereinthe protective component may be comprised of two or more layers ofdifferent materials. The first layer may be made of a synthetic materialsuch a flash-spun high-density polyethylene fiber, such as DuPont™Tyvek®, which is highly durable and puncture resistant and allows thepermeation of vapors (1410). The Tyvek® is applied as the first layer ofthe protective component, before the sterilization process. Once theTyvek® layer is applied, the medical device assembly is sterilized(1420), and following the sterilization process, a foil, or other vaporand moisture resistant material, layer is sealed, for example heatsealed, over the Tyvek® layer to prevent moisture ingress into themedical device assembly (1430).

In another embodiment, only a single protective layer is applied to themedical device assembly, wherein the single layer is gas permeable forthe sterilization process, but is also capable of protection againstmoisture and other harmful elements once the sterilization process iscomplete.

In other embodiments, as described above, it may be advantageous for amedical device assembly to be packaged in final packaging materialsbefore sterilization in order to avoid contamination between thesterilization and final packaging processes. In one embodiment, apackaging, for example a Tyvek® packaging, may be sealed around themedical device assembly. The entire sealed packaging is then sterilizedbefore final shipping and distribution. In another embodiment, thesterilization process is completed before the final packaging is sealed,and immediately following the sterilization process the final packagingis sealed, for example, but heat sealing. In other embodiments, multiplelayers and/or multiple materials of packaging may be used.

In still a further embodiment, separate components may be sterilizedseparately using different or the same sterilization techniques asdescribed above, and assembled and packaged after sterilization. Inanother embodiment, some components may be sterilized individuallybefore assembly and packaging, while the remaining components may besterilized after assembly and/or packaging. In still another embodiment,each separate component may be sterilized separately before assemblyand/or packaging, and further the entire assembled device may besterilized an additional time after complete assembly and/or finalpackaging.

Within the scope of the present disclosure, other methods ofsterilization of an analyte sensor or analyte sensor delivery unit maybe used, including, but not limited to, radiation sterilization methodssuch as gamma ray irradiation, X-ray irradiation, or ultraviolet light(UV) irradiation, dry heat sterilization, and autoclaving sterilization.Gamma ray irradiation is similar to electron beam irradiation in that itpenetrates most material and doesn't require long exposure. Gamma rayirradiation sterilization uses gamma rays which are generally producedfrom a Cobalt (Co₆₀) source. Gamma rays generally have a higherpenetrating power compared to electron beam irradiation, however, theyhave a lower dosage rate. Therefore, gamma ray irradiation may bepreferable for high density packaged materials, however, because of thelower dosage rate, the materials may require a longer dosage time toensure full sterilization, and therefore, increase the risk of damage tothe material itself from prolonged exposure.

X-ray irradiation, if low energy, is less penetrating than electron beamand gamma ray irradiation and thus often requires longer exposure time,but requires less shielding. Ultraviolet light irradiation may beineffective in penetrating non-transparent materials, thus UVirradiation is used only for surface sterilization or sterilization ofcertain transparent objects.

Dry heat sterilization is a matter of heating the target package,device, or material to a desired sterilization heat level. However, dryheat often encounters problems when sterilizing plastics, as plasticsmay melt or damage before the entirety of the package, material, ordevice reaches a temperature adequate for sterilization.

Autoclaving is a sterilization process that uses saturated steam toallow for lower temperatures and shorter times as compared to the dryheat process. However, some materials begin to loose structuralintegrity at the temperatures used for autoclaving. This limits thematerials and designs available for packaging a device.

In yet another embodiment of the present disclosure, a sterilizationverification procedure may be implemented after sterilization. Aftersterilization, a sample may be taken for final quality control testing,which may check, among others, device, such as a sensor, response, packintegrity, such as leak testing, and device functionality, such asinsertion functionality for an analyte sensor delivery unit.

As discussed above, sterilization of medical devices before usage isimportant. In one aspect, electron beam irradiation may be used for thesterilization of a medical device such as the sensor insertion unit andsensor combined assembly. The electron beam irradiation inactivates orkills any microorganisms on or within the target medical device by usingelectron beam accelerators to accelerate electrons into a concentratedhighly charged electron stream, which may alter chemical and biologicalbonds of, for example, DNA chains and reproductive cells ofmicroorganisms. Moreover, as discussed above, electron beam irradiationmay be a penetrating process, allowing a target medical device, such asan analyte sensor and analyte sensor delivery unit, to be alreadypackaged in its final packaging before being exposed to the irradiationprocess for sterilization.

Accordingly, in accordance with the embodiments of the presentdisclosure, there are provided methods and systems for the sterilizationof medical devices, including devices for the continuous or automaticmonitoring of analytes, such as glucose, in bodily fluid. In one aspect,there is provided assembling an analyte sensor with an analyte sensorinsertion device, packaging the assembled analyte sensor and sensorinsertion device in a container which may optionally includesubstantially airtight seal, and irradiating the packaged assembledanalyte sensor and sensor insertion device at a dose effective tosterilize the package using one or more electron beam accelerators.

In one aspect, the electron beam sterilization of the assembled andpackaged analyte sensor and sensor insertion device results in arelatively long term shelf life (for example, approximately 18 months),with controllable moisture content within the packaging, while notadversely impacting the adhesiveness of the adhesive for placement onthe skin surface of the user.

Accordingly, a method of sensor delivery assembly sterilization in oneaspect includes assembling an analyte sensor with an analyte sensorinsertion device, packaging the assembled analyte sensor and sensorinsertion device in a container, and irradiating the container includingpackaged assembled analyte sensor and sensor insertion device at apredetermined dose using one or more electron beam accelerators.

The predetermined dose may be approximately 30 kGy.

The packaged assembled analyte sensor and sensor insertion device may beirradiated at a surface dosage of between approximately 25 kGy and 60kGy.

In one aspect, the irradiation of the packaged assembled analyte sensorand sensor insertion device may produce approximately 10⁻⁶ sterilityassurance level.

The packaged assembled analyte sensor and sensor insertion device may beirradiated from two opposing sides using at least two electron beamaccelerators, where, a respective time period associated with theirradiation of the packaged assembled analyte sensor and sensorinsertion device from each of the at least two electron beamaccelerators may be substantially non-overlapping.

The packaged assembled analyte sensor and sensor insertion device may besterilized with one electron beam accelerator.

In still another aspect, the method may include rotating the containerincluding packaged assembled analyte sensor and sensor insertion deviceduring irradiation to expose the maximum surface of the packagedassembled analyte sensor and sensor insertion device substantiallyperpendicular to the electron beam irradiation.

The method may include providing an indication of sterilization statuson the irradiated packaged assembled analyte sensor and sensor insertiondevice, where providing the indication of sterilization status mayinclude affixing a label on the packaged assembled analyte sensor andsensor insertion device.

In yet another aspect, assembling the analyte sensor with the analytesensor insertion device may include coupling the analyte sensor to theanalyte sensor insertion device, where coupling may include detachablycoupling the analyte sensor to a predetermined portion of the analytesensor insertion device.

A system for sterilizing an analyte sensor insertion device assembly inanother aspect of the present disclosure includes a container includingan inner cavity and a seal, the container including an analyte sensorinsertion device assembly positioned substantially within the innercavity, wherein the seal is provided entirely over the cavity on thecontainer, and an electron beam accelerator configured to irradiate thecontainer at a predetermined dose.

The electron beam accelerator may be configured to irradiate thecontainer at a surface dosage of between approximately 25 kGy and 60kGy.

The electron beam accelerator irradiation of the container may result inapproximately 10⁻⁶ sterility assurance level.

In one aspect, the analyte sensor includes a glucose sensor.

The container in a further aspect may include a sterilization statusindicator. A method in still another aspect may include exposing apackaged assembly including an analyte sensor and sensor insertiondevice to electron beam irradiation to result in approximately 10⁻⁶sterility assurance level.

In one aspect, the sealed analyte sensor and sensor delivery unit in asingle package may be electron beam sterilized for a predetermined timeperiod to attain sufficient level of sterilization (for example,approximately 10⁻⁶ sterility assurance level) while maintaining theintegrity of the components and items within the package including, forexample in certain embodiments, the active sensing agents and/orchemistry related to analyte sensing disposed on the sensor, thebiologics and the required biological activity thereof, the viscosity ofthe adhesive on the bottom surface of the mounting unit of the sensordelivery unit, as well as the structural integrity of the sensordelivery unit components including, for example in certain embodiments,a metal sharp/introducer, a plastic housing, as well as other materialsif included.

Embodiments include effectively electron beam sterilizing a medicaldevice that includes various materials with respective material,biologic and chemical properties. Embodiments include exposing a medicaldevice to electron beam irradiation for a period of time sufficient tosterilize the device without adversely affecting the properties of theassembled device (and any other component sterilized therewith) to anunacceptable degree. Sterilization may include determining that anelectron beam-sterilized medical device is substantially, if notcompletely, free of viable microorganisms, e.g., does not exceed aboutan amount acceptable for such devices according to a governmentalregulatory agency such as the U.S. Food and Drug Administration and/orthe target medical device for sterilization has reached a predeterminedsterility assurance level (SAL).

For example, a medical device subjected to the sterilization proceduresherein may include an analyte sensor (such as a glucose sensor) that mayinclude one or more electrodes (one or more of, including anycombination of working, reference and counter electrodes), ananalyte-responsive enzyme area (e.g., glucose enzyme with or without amediator, e.g., a redox polymer enzyme area (such as anosmium-containing redox polymer)), or an analyte diffusion limiting arearespectively disposed on the sensor substrate. An assembled unit thatmay be sterilized with an analyte sensor may include a mounting unitand/or a sensor delivery unit, comprising the target medical device forsterilization.

A mounting unit may include materials such as plastic (e.g.,substantially flexible or substantially rigid plastic) and/or adhesivematerial disposed on one or more surface of the mounting unit (e.g., toadhere the mounting unit to a skin surface of a user). A sensor deliveryunit may include materials such as plastic housing and one or morecomponents (e.g., substantially flexible or substantially rigidplastic), and metal (such as a sharp or introducer for delivering asensor at least partially in the skin of a user). Such an assemblycomprising analyte sensor and mounting unit and sensor delivery unit maybe positioned inside a container prior to sterilization, where acontainer may also include one or more materials whose properties may beconsidered in the sterilization process for example, to achieve thedesired sterility assurance level.

In one aspect, the container materials may include a thermoformedplastic tray with a sealable, removable cover, e.g., an aluminum foilcover that is adhered to the plastic tray with adhesive. In oneembodiment, the thermoformed plastic tray for containing the assembledanalyte sensor, pre-loaded in the sensor delivery unit configured withthe mounting unit, may comprise a composition including polyesterterephthalate glycol (PETG)/Cyclic Olefine Copolymer (COC)/polyesterterephthalate glycol (PETG) of an approximate thickness of 40millimeters. Additionally, the removable cover may be provided on thethermoformed plastic tray as peelable lid which is adhered to theplastic tray using an adhesive, and may be peeled off by a user prior touse. In particular embodiments, the peelable lid may be a compositionincluding polyester/white polyethylene/aluminum foil/polyester/heat sealPET film. In certain aspects, the adhesively mounted lid or cover may beflexible or rigid. When fully assembled, the container including theplastic tray and the aluminum foil cover provides a sealed environmentfor the assembled sensor, sensor delivery unit and/or the mounting unit.

Once positioned inside, the cover may be sealed to form an enclosedinterior space. In certain embodiments, sterilization of a medicaldevice having various materials, by a process herein, provides sterilityof the medical device for a predetermined shelf life period of time,e.g., at least about six months, e.g., at least about 18 months.

In one aspect, the period of time during which the sensor/delivery unitis exposed to the electron beam irradiation may vary, but in certainembodiments may range from at least about one minute, e.g., at leastabout one to two minutes, e.g., at least about two minutes, where theperiod of time may be as long as about three minutes or longer.Furthermore, in one aspect, the target surface dose for electron beamsterilization is within a rage of 25 kGy to 60 kGy, and preferably,about 29 or 30 kGy target surface dose to maintain a minimum ofapproximately 25 kGy within the interior of the packaging.

In certain embodiments, the electron beam sterilization of the packagedsensor and sensor delivery unit is performed to meet the standards orare in compliance with the requirements set forth in ISO 11137 whichprovides the requirements for validation and routine control forradiation sterilization of health care products, and AAMI TIR27: 2001Sterilization of health care products—Radiationsterilization—Substantiation of 25 kGy as a sterilization dose MethodVD_(MAX).

Within the scope of the present disclosure, the time period of theelectron beam irradiation and the target surface dosage mage varydepending upon the particular item or combination of components forsterilization. For example, the target surface dose and irradiation timeperiod for a packaging that includes analyte sensor only may differ froma packaging that includes the sensor delivery unit and the analytesensor pre-loaded in the delivery unit, and further which includes themounting base for positioning on the user's skin surface during thesensor insertion process. In particular, the target surface dose and/orirradiation time period may be varied to compensate for the particularmaterial properties of the item for sterilization.

In one embodiment, a method of sterilizing a medical device assembly maycomprise providing a medical device assembly including one or moreelectronic components, a sensor, and a sensor delivery unit, exposingthe medical device assembly to a gaseous chemical solution at apredetermined temperature, humidity level, and gaseous chemicalconcentration, for a predetermined exposure time to sterilize themedical device assembly, and aerating the medical device assembly.

The electronic components may include a data transmitter, amicroprocessor, or a memory device.

The sensor may be a glucose sensor.

In one aspect, the glucose sensor may comprise at least one electrode,an enzyme area, and a glucose diffusion limiting area.

The enzyme area may comprise a mediator.

The enzyme area may comprise a redox polymer.

The redox polymer may comprise an osmium-containing polymer.

The glucose diffusion limiting area may comprise a polymer.

The sensor may comprise a substantially planar substrate on which the atleast one electrode is positioned.

The sensor delivery unit may include an adhesive mounting unit.

In one aspect, the gaseous chemical solution is an ethylene oxidesolution.

The predetermined ethylene oxide concentration may be between 400 mg/Land 800 mg/L.

The predetermined ethylene oxide concentration may be approximately 600mg/L.

The exposure time may be between three and five hours.

The predetermined temperature may be lower than 56° C.

The predetermined temperature may be approximately 45° C.

The predetermined humidity level may be approximately 35%.

In another aspect, the gaseous chemical solution may be a vaporizedhydrogen peroxide solution.

The predetermined vaporized hydrogen peroxide concentration may beapproximately 35%.

The predetermined temperature may be between 30° C. and 40° C.

In another aspect, the gaseous chemical solution may be an oxide ofnitrogen solution.

The oxide of nitrogen may be nitrogen dioxide.

The nitrogen dioxide concentration may be between 0.25% and 0.40%.

The exposure time may be between 2 and 20 minutes.

The predetermined temperature may be between 18° C. and 30° C.

The predetermined humidity may be between 50% and 80%.

In yet another aspect, the medical device assembly may be sterilizedwhen the medical device has a 10⁻⁶ sterility assurance level.

The medical device assembly may be sterilized to maintain apredetermined sterility level for at least about six months.

The medical device assembly may be sterilized to maintain apredetermined sterility level for at least about 18 months.

The medical device assembly may be provided within a final packagingprior to exposure to the gaseous chemical solution.

Furthermore, the method may comprise packaging the medical deviceassembly in a material that is substantially non-permeable to moisture.

Packing the medical device assembly may comprise heat sealing themedical device assembly within the material that is substantiallynon-permeable to moisture.

Various other modifications and alterations in the structure and methodof operation of this disclosure will be apparent to those skilled in theart without departing from the scope and spirit of the presentdisclosure. Although the present disclosure has been described inconnection with specific embodiments, it should be understood that thepresent disclosure as claimed should not be unduly limited to suchspecific embodiments. It is intended that the following claims definethe scope of the present disclosure and that structures and methodswithin the scope of these claims and their equivalents be coveredthereby.

1. A method of sterilizing a glucose sensor, the method comprising:assembling a glucose sensor with a sensor mounting unit and a sensordelivery unit, where the glucose sensor comprises at least oneelectrode, an enzyme area, and a glucose diffusion limiting area, thesensor delivery unit comprises a housing and a metal sharp, and thesensor mounting unit comprises an adhesive; and irradiating the assemblywith a predetermined dose level and/or for a predetermined time periodto sterilize the assembly.
 2. The method of claim 1, comprisingpositioning the assembly in a container and sealing the assembly in thecontainer with a cover.
 3. The method of claim 2 wherein the containerincludes thermoformed plastic.
 4. The method of claim 2 wherein thecover includes aluminum.
 5. The method of claim 2 wherein the cover andthe container form the seal with an adhesive material disposedtherebetween.
 6. The method of claim 1 wherein the assembly isirradiated at a surface dosage of between approximately 25 kGy and 60kGy.
 7. The method of claim 1 wherein the irradiation of the packagedassembled analyte sensor and sensor insertion device results in about10⁻⁶ sterility assurance level.
 8. The method of claim 1 wherein theassembly is sterilized to maintain a predetermined sterility level forat least about six months.
 9. The method of claim 1 wherein the assemblyis sterilized to maintain a predetermined sterility level for at leastabout 18 months.
 10. The method of claim 1 wherein the enzyme areacomprises a mediator.
 11. The method of claim 10, wherein the enzymearea comprises a redox polymer.
 12. The method of claim 11 wherein theredox polymer comprises an osmium-containing polymer.
 13. The method ofclaim 1 wherein the glucose diffusion limiting area comprises a polymer.14. The method of claim 1 wherein the sensor comprises a substantiallyplanar substrate on which the at lest one electrode is positioned.
 15. Amethod of sensor delivery assembly sterilization, comprising: assemblingan analyte sensor with an analyte sensor insertion device; packaging theassembled analyte sensor and sensor insertion device in a container; andirradiating the container including packaged assembled analyte sensorand sensor insertion device at a predetermined dose using one or moreelectron beam accelerators.
 16. The method of claim 15, wherein thepredetermined dose is approximately 30 kGy.
 17. The method of claim 15,wherein the packaged assembled analyte sensor and sensor insertiondevice are irradiated at a surface dosage of between approximately 25kGy and 60 kGy.
 18. The method of claim 15, wherein the irradiation ofthe packaged assembled analyte sensor and sensor insertion deviceproduces about 10⁻⁶ sterility assurance level.
 19. The method of claim15, wherein the packaged assembled analyte sensor and sensor insertiondevice are irradiated from two opposing sides using at least twoelectron beam accelerators.
 20. The method of claim 19, wherein arespective time period associated with the irradiation of the packagedassembled analyte sensor and sensor insertion device from each of the atleast two electron beam accelerators are substantially non-overlapping.21. The method of claim 19, wherein the irradiation of the packagedassembled analyte sensor and sensor insertion device produces about 10⁻⁶sterility assurance level.
 22. The method of claim 15, wherein thepackaged assembled analyte sensor and sensor insertion device issterilized with one electron beam accelerator.
 23. The method of claim22 including rotating the packaged assembled analyte sensor and sensorinsertion device during irradiation to expose the maximum surface of thepackaged assembled analyte sensor and sensor insertion devicesubstantially perpendicular to the electron beam irradiation.
 24. Themethod of claim 22, wherein the irradiation of the packaged assembledanalyte sensor and sensor insertion device produces about 10⁻⁶ sterilityassurance level.
 25. The method of claim 15, including providing anindication of sterilization status on the irradiated packaged assembledanalyte sensor and sensor insertion device.
 26. The method of claim 15,wherein assembling the analyte sensor with the analyte sensor insertiondevice includes coupling the analyte sensor to the analyte sensorinsertion device.
 27. The method of claim 26 wherein coupling includesdecoupleably coupling the analyte sensor to a predetermined portion ofthe analyte sensor insertion device.
 28. A system for sterilizing ananalyte sensor insertion device assembly, comprising: a containerincluding an inner cavity and a seal, the container including an analytesensor insertion device assembly positioned substantially within theinner cavity, wherein the seal is provided entirely over the cavity onthe container; and an electron beam accelerator configured to irradiatethe container at a predetermined dose.
 29. The system of claim 28,wherein the predetermined dose is at least approximately 30 kGy.
 30. Thesystem of claim 28, wherein electron beam accelerator is configured toirradiate the packaging at a surface dosage of between approximately 25kGy and 60 kGy.
 31. The system of claim 28, wherein the electron beamaccelerator irradiation of the packaging results in approximately 10⁻⁶sterility assurance level.
 32. The system of claim 28 wherein thepackaging includes a sterilization status indicator.
 33. The system ofclaim 28 wherein the analyte sensor includes a glucose sensor.
 34. Amethod, comprising: exposing a packaged assembly including an analytesensor and sensor insertion device to electron beam irradiation toresult in approximately 10⁻⁶ sterility assurance level.